Provider Demographics
NPI:1356692412
Name:BARTSCHI, JILL (NCAC I)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:BARTSCHI
Suffix:
Gender:F
Credentials:NCAC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 S MARYLAND PKWY
Mailing Address - Street 2:APT # 1145
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-5888
Mailing Address - Country:US
Mailing Address - Phone:801-597-3339
Mailing Address - Fax:
Practice Address - Street 1:10000 S MARYLAND PKWY
Practice Address - Street 2:APT # 1145
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-5888
Practice Address - Country:US
Practice Address - Phone:801-597-3339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6711029-6006101YA0400X
VA015403101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)